Fair Oaks Medical Care Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101231908 Issued in VA

Legal business name

FAIR OAKS MEDICAL CARE INC.

Practice address

3650 Joseph Siewick Dr
Ste. 303
Fairfax, VA 22033-1710

Phone

(703) 264-0220

Fax

(703) 264-0231

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eva Coleman, MDNPI 1467553016

Title

President

Phone

(703) 264-0220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Coleman, MD

  • Specialist
  • Fairfax, VA
  • NPI 1467553016
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932200599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12703 LAUREL GROVE WAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331625",
            "telephone_number": "703-264-0220",
            "fax_number": "703-264-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR",
            "address_2": "STE. 303",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331710",
            "telephone_number": "703-264-0220",
            "fax_number": "703-264-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS MEDICAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-264-0220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101231908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Lakes Optometry
• Fair Oaks Emergency Physicians, PLLC
• Fair Oaks Hospitalist Physicians, PLLC
• Fair Oaks Imaging Center, PC
• Fair Oaks Internal Medicine
• Fair Oaks Ortho, PLLC
• Fair Oaks Ortho, PLLC
• Fair Oaks Orthopaedic Associates, Inc
• Fair Oaks Podiatry and Sports
• Fair Oaks Podiatry and Sports

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.